メケルの:子供と成人の臨床的特徴の違い

N Srisan¹, P Songsiri^2,3, S Liukitithara³

¹Department of Surgery, Faculty of Medicine, Chulalongkorn University & King Chulalongkorn Memorial Hospital, Bangkok, 10330, Thailand. nimmita.s@chula.ac.th.

Pediatric surgery international

|September 4, 2025

まとめ

この研究では,子供と成人のメッケル (MD) の臨床的特徴を比較した. 小児では下部腸内出血が一般的であり,大人の場合は胞炎がより頻繁であり,偶発的なMD切除を支える.

科学分野:

胃腸内科
小児外科
外科病理学

背景:

メケルの離体 (MD) は,小腸の先天性異常である.
MDの臨床表現と管理戦略は,小児と成人の間で大きく異なる可能性があります.
これらの違いを理解することは患者の治療結果を最適化するために極めて重要です

研究の目的:

メッケル・ダイバーティキュラム (MD) の臨床的特徴を記述し比較する.
子供とMDの成人の間で人口統計データ,臨床表現,調査,治療,組織病理学,術後の合併症を分析する.

主な方法:

2002年から2021年までの間にメッケルの分泌管 (MD) と診断された123人の患者の遡及的レビュー.
収集されたデータには,人口統計,臨床表現,診断調査,治療方法,組織病理学的発見,術後の合併症が含まれています.
小児と成人の患者コホート間の発見の比較.

主要な成果:

下部胃腸 (GI) 血流は,子供 (52. 1%) で最も一般的であったが,ディベルティキュライトは成人 (46. 7%) で最も一般的であった.
子供のMDの出血を診断するメケル検査は高感度 (95%) であった.
切除されたMDの27. 4%で胃外組織が発見され,症状のあるMDと偶然に発見されたMDの間で手術後の合併症の有意な違いは観察されなかった.

結論:

メッケル・ダイバーティキュラム (MD) の主要な臨床的症状は,子供 (下腸内出血) と成人 (ダイバーティキュライト) の間で異なります.
メケルスキャンは出血の診断ツールです
無症候のMD症例の有意な割合で子宮の外部組織が存在することは,偶然発見されたMDの予防的切除をサポートしています.

キーワード:

診断用イメージング子宮外粘膜下部胃腸出血メッケル・ダイバーティキュール小児科および成人科の手術

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